FORM 1023-EZ for FREE TO FLY FOUNDATION SINGLE MOM FUND

Field Data
EIN 84-5170991
Case Number EO-2020083-000362
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FREE TO FLY FOUNDATION SINGLE MOM FUND
Organization’s Mailing Address 720 COPPINI LANE
City FERNDALE
State CA
ZIP 95536
Accounting period End 12
Primary contact name CARRIE GRAY COPPINI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARRIE COPPINI
DIRECTOR
720 COPPINI LANE
FERNDALE CA 95536

Officer/Director/Trustee Two

TRACY COPPINI
TRUSTEE
720 COPPINI LANE
FERNDALE CA 95536

Officer/Director/Trustee Three

FRANCINE RUSH
TRUSTEE
1655 A ST APT 1
EUREKA CA 95501

Officer/Director/Trustee Four

TYKESHIA LESCHKE
TRUSTEE
PO BOX 5285
EUREKA CA 95502

Officer/Director/Trustee Five

MISSY BAILY
TRUSTEE
934 H ST
ARCATA CA 95521

Organization’s website
Organization’s email CCOPPINI1962@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P42 - Single Parent Agencies, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CARRIE COPPINI
Signature Title DIRECTOR BOARD PRESIDENT
Signature Date 3/20/2020

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